Mahalik Aparna, Jaleel Jasim, Sagar Sambit, Khan Dikhra, Raju Shobhana, Kumar Rakesh
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, 110029 India.
Nucl Med Mol Imaging. 2024 May;58(3):150-151. doi: 10.1007/s13139-024-00839-4. Epub 2024 Jan 29.
The prevalence of double primary prostate and bladder cancer is not uncommon. Though both share a common pathway of malignant transformation, they bear to differ in the case of 2-[F]FDG PET/CT and [Ga]Ga-PSMA uptake. We present a case of double primary cancer involving the bladder and prostate, where the prostatic primary showed intense [Ga]Ga-PSMA uptake with non-avid skeletal and pulmonary metastases, which showed intense 2-[F]FDG uptake, thus showing discordance due to different clonal origins.
原发性前列腺癌和膀胱癌同时存在的情况并不罕见。尽管两者都有共同的恶性转化途径,但在2-[F]FDG PET/CT和[Ga]Ga-PSMA摄取方面存在差异。我们报告一例同时累及膀胱和前列腺的双原发性癌病例,其中前列腺原发性肿瘤显示强烈的[Ga]Ga-PSMA摄取,而骨骼和肺部转移灶无摄取,这些转移灶显示强烈的2-[F]FDG摄取,因此由于不同的克隆起源而表现出不一致。